By, Dr Sushma Jaiswal Meher Executive Director -INCHES Healthcare Pvt. Ltd
One or more of the following three variables are usually evident in any proven instance of insurance fraud. In large percentage of such claims more than one exists as whatever be the main trigger……
Technology disruption in Insurance Risk Management
By, Dr. C H Asrani DNB (Family Medicine), MBBS Founder & Chairman – INCHES Healthcare Pvt. Ltd
Insist of Rational & Customary Treatment (as already mentioned in policy documents) by ensuring your teams deploy Standard Treatment Guidelines into EACH claim adjudication (incl OPD claims)….
By, Dr. C H Asrani DNB (Family Medicine), MBBS Founder & Chairman – INCHES Healthcare Pvt. Ltd
50-60% of death claims and 100% of health claims need prudent review of the clinical data for a well-informed decision. Unfortunately Claims Management is discussed in the context of administrative ov…
